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在COVID-19大流行期间,儿科 laparoscopic胆囊切除术的不成比例增加

Philip M Lee¹, Cameron Harvey², Eli Snyder¹

¹University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii.

The Journal of surgical research

|February 25, 2025

概括

随着COVID-19大流行,儿科腹腔镜胆囊切除术的发生有所增加,患者的平均体重和BMI都更高. 这一时期的程序更加紧迫,并增加了并发症.

科学领域:

儿科手术儿科手术
公共卫生公共卫生
流行病学流行病学

背景情况:

随着COVID-19的流行,生活方式发生了变化,包括儿童的久坐行为和肥胖增加.
文献表明,在疫情期间,儿科患者中肥胖的趋势越来越大.

研究的目的:

为了评估COVID-19流行病与小儿腹腔镜胆囊切除术的数量之间的关系.
为了比较胆囊切除术率和病人的特征,我们比较了大流行前和大流行期间的情况.

主要方法:

利用了2017-2021年国家外科质量改善计划数据,用于18岁或以下的患者.
将手术分类为COVID前 (2017-2018) 和COVID期间 (2020-2021) 的时间段.
分析病例敏度,伤口分类,种族,体重,BMI和并发症率.

主要成果:

总共进行了13,579次儿科腹腔镜胆囊切除术,56.0%发生在COVID-19期间.
在COVID-19期间的患者的平均体重和BMI (P < 0.001) 显著增加,与病例急性和并发症的增加有关.
在COVID-19期间,紧急/紧急病例显著增加 (P < 0.0001),不良伤口分类 (III/IV类) 的比例更高.

结论:

COVID-19流行病与儿科腹腔镜胆囊切除术的增加,患者体重/BMI的增加以及病例严重程度的增加有关.
平均体重和BMI的上升表明,流行病相关的隔离和胆囊切除率之间存在潜在联系.
需要进行进一步的研究,以确定导致儿科手术过程中观察到的这些趋势的具体因素.

关键词:

在 COVID-19 疫情中,胆囊切除术是一种胆囊切除术.胆囊炎是一种胆囊炎.流行病学流行病学健康上的不平等卫生上的不平等 laparoscopic 拉巴洛斯科比拉巴洛斯科比拉巴洛斯科比拉巴洛斯科比儿科外科手术儿科外科手术公共卫生公共卫生

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